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In comparison with the study of <unk>, the nasogastric tube extends to the body of the stomach. The dobbhoff tube extends somewhat further, though it crosses the lower margin of the image. The monitoring and support devices are essentially unchanged. There is poor definition of the left hemidiaphragm, consistent with s...
new nasogastric tube after liver transplant.
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In comparison with study of <unk>, there is little overall change in the degree of right pleural effusion with compressive atelectasis at the base. Otherwise, little change in the post-treatment changes of the right middle lobe mass. No vascular congestion or acute focal pneumonia.
pleural effusion, evaluation.
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Low lung volumes are seen with secondary crowding of the bronchovascular markings. No definite superimposed consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities.
<unk>f with ams // stroke
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Right-sided port-a-cath tip terminates in the mid/lower svc. Heart size is normal. Mediastinal and hilar contours are within normal limits. Pulmonary vasculature is normal. There is minimal atelectasis in the left lung base. No focal consolidation, pleural effusion or pneumothorax is present. Lytic lesions within the r...
history: <unk>m with fever of unknown origin, lymphoma
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Pa and lateral views of the chest provided. Electronic device is projecting over the mid and lower chest limit evaluation. The heart remains mildly enlarged. There is hilar congestion and mild interstitial pulmonary edema. No large effusion. No convincing evidence for pneumonia. Mediastinal contour is stable.
<unk>m with hypoglycemia // eval for infection
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Et tube and enteric tube remain in standard position with tip of the enteric tube off the film. There is a right picc line with tip terminating in the mid svc. The cardiomediastinal and hilar contours are stable. Interstitial opacities in the right lung have improved slightly since the prior study but are still present...
assess interval change in a patient with vasculitis.
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The lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. Bilateral cervical ribs are incidentally noted.
<unk> year old woman with iddm, gastroparesis p/w abdominal pain, n/v // evidence of volume overload, acute cardiac process?
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Ap single view of the chest has been obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. Previously identified right-sided picc line remains in unchanged position. There is no pneumothorax in the apical area. In comparison wi...
<unk>-year-old female patient with subjective complaint of dyspnea, assess for interval change or acute process.
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Frontal and lateral views of the chest. There are small bilateral pleural effusions, decreased in size on the left when compared to prior. Streaky retrocardiac opacities are less conspicuous and may be due to minimal atelectasis. Elsewhere, the lungs are clear. Degree of cardiomegaly is unchanged. Tortuous thoracic aor...
<unk>-year-old female with dyspnea.
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An endotracheal tube is in place with the tip <num> cm above the carina. An enteric feeding tube has been removed from the most recent prior study. The patient is status post tevar with a large endograft involving the distal aortic arch and descending thoracic aorta to the level of the diaphragm. The mediastinal contou...
status post emergent tevar with left mini thoracotomy washout for ruptured type b dissection status post left vats washout and decortication, here for pre-operative evaluation of the chest prior to tracheostomy.
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The et tube terminates approximately <num> cm above the carina. There is an ng tube which extends below the diaphragm with the side port at the ge junction. The tip of the tube is in the stomach. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or large...
history intubation. please evaluate tube placement.
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Since the prior exam, the enteric tube has been pulled back. The tip is still in the stomach, though the side port is above the gastroesophageal junction. A left picc is in unchanged position with the tip in the upper-to-mid svc. Pulmonary edema has resolved. There is no opacity to suggest pneumonia. There is no pleura...
status post orif of the left leg and right arm with rising white blood cell count. evaluate for pneumonia.
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There is a dialysis catheter overlying the right chest with the tip in the cavoatrial junction. Heart size is stable. The mediastinal and hilar contours are stable. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
<unk> year old woman with new leukocytosis. // r/o infection
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lung volumes are low. Bibasilar atelectasis is present. There is slight blunting of the left costophrenic angle. The lungs are otherwise clear without focal or diffuse abnormality. No pneumothorax i...
<unk>-year-old male with cirrhosis and acute increase in abdominal pain, jaundice, evaluate for infiltrate.
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There is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. The cardiomediastinal silhouette is within normal limits. A healed posterior left <num> rib fractures noted. Multilevel degenerate changes are noted within the thoracic vertebral bodies.
history: <unk>m with hx of seizures, had breakthrough seizure today // eval for pna
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One enteric tube is in unchanged position with the tip in the stomach. A new dobbhoff tube is present with the tip also in the stomach. There is an unchanged left pleural effusion. The lungs are otherwise clear. There is no pneumothorax. The cardiomediastinal silhouette is normal.
evaluate dobbhoff position.
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Pa and lateral views of the chest provided. The heart is moderately enlarged. The lungs appear clear without focal consolidation, effusion, or pneumothorax. The aorta is partially calcified. The bony structures appear somewhat demineralized, though appear intact. No free air below the right hemidiaphragm. Prominence of...
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Low lung volumes are noted. Streaky bibasilar opacities are likely secondary to atelectasis. There is no effusion or pneumothorax. The cardiomediastinal silhouette is normal. No acute osseous abnormalities identified.
<unk>f with fever // eval infiltrate
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As compared to the previous radiograph, there is no relevant change. Moderate pulmonary edema with bilateral pleural effusions and retrocardiac atelectasis. Unchanged monitoring and support devices. Unchanged absence of pneumothorax. The left pectoral pacemaker is in constant position.
coumadin, evaluation for interval changes.
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The previously described oval right upper lobe mass appears unchanged. There are linear opacifications of the left upper lobe, which represent fibrosis. Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen. There are no acu...
<unk> year old woman with lung cancer s/p mediastinoscopy // please evaluate for pneumothorax
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The lungs are clear bilaterally. Tiny nodular hyperdense foci scattered throughout may represent calcified granulomas. Cardiomediastinal and hilar contours are stable in appearance and within normal limits. There is no pleural effusion or pneumothorax. Osseous structures demonstrate no acute abnormality.
<unk>-year-old male with altered mental status.
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Compared to chest radiographs from <unk>, left lower lobe pneumonia has nearly resolved. No new focal consolidation. No pleural effusion. Mediastinal and hilar contours are stable. Heart size is normal. Left-sided port-a-cath tip terminates in the right atrium.
metastatic breast cancer; known (small) pulmonary nodules. // recurrent cough s/p treatment for lll pna on <unk>. please eval for recurrent pna or effusion?
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<unk> compared to the previous radiograph, the monitoring and support devices are unchanged. Unchanged appearance of the cardiac silhouette and of the left hemithorax. On the right, the effusion has slightly decreased and makes <unk>right basal parenchymal opacity better visible than on the previous image. Slight decre...
questionable pneumonia.
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There is mild interstitial abnormality. No focal consolidation, pleural effusion, or pneumothorax is seen. Heart size is top normal. The aorta is tortuous with calcifications.
<unk>-year-old female with fever and cough.
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The lungs are clear of airspace or interstitial opacity. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax. No acute or aggressive osseus changes.
<unk> year old man with h/o renal cell carcinoma s/p nephrectomy // pls evaluate for mets other abnormalities
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There is moderate cardiomegaly with mildly tortuous thoracic aorta. The central pulmonary vasculature is engorged with ill-defined borders and diffuse increased reticulation compatible with moderate pulmonary edema. There is no pleural effusion or pneumothorax. A left-sided dual-lead pacer is unchanged in position comp...
shortness of breath and chest pain. evaluate for pneumonia.
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. The lungs appear clear. Bony structures are unremarkable.
congestion and cough.
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A left mid lung mass with a clip is reidentified with associated thoracotomy changes. In the background of diffuse bilateral interstitial thickening, there are areas of ill defined patchy opacities in the right lower lung. Obscuration of the margin of the left hemidiaphragm suggests left lower lobe consolidation. A spi...
patient with dyspnea. evaluate for infection.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. In addition to multifocal linear opacities in the left mid and both lower lungs, and more confluent area of opacification is present in the right infrahilar region. . No pleural effusion or pneumothorax is seen. Th...
<unk> year old woman pod#<num> after laparoscopy with chest heaviness and decreased bs on rlb // atelectasis? early pneumonia?
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There are bilateral pleural effusions, right significantly greater than left. There appears to be a slight improvement in the layering portion of this effusion that this may be partially due to positioning of the patient. Mild pulmonary edema, improved from prior. No pneumothorax. Cardiomediastinal silhouette is stable...
<unk> year old man s/p avr // follow up effusion
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In comparison with the study of <unk>, there is again substantial enlargement of the cardiac silhouette with no evidence of vascular congestion. This discordancy raises the possibility of cardiomyopathy. No evidence of acute focal pneumonia.
clearance for daycare program.
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Shallow inspiration. Central line in place with tip in the right atrium, stable. Minimal bibasilar opacities, likely atelectasis, more prominent since prior. No pleural effusions. Shallow inspiration accentuates heart size, pulmonary vascularity. No pneumothorax.
<unk> year old woman with non-healing lle wound and abi's suggestive of pad scheduled for angio <unk> // pre angio cxr
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There has been interval removal of a right ij central venous catheter and interval placement of a right upper extremity picc, the tip of which is located in the mid svc. Lung volumes are slightly low, which accentuate the pulmonary vasculature. There is no focal consolidation, pleural effusion, or pneumothorax. The car...
<unk>-year-old female with fever and neutropenia as well as leukemia, please evaluate for infiltrate.
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Pa and lateral views of chest. The lungs are clear aside from a small nodular opacity seen best on the lateral view at the costophrenic angle. Cardiac silhouette is normal in size. There is no pleural effusion, pneumothorax or pulmonary edema. The hilar contours are normal. Clips are noted in the right upper quadrant. ...
chest pain
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Pa and lateral images of the chest demonstrate well-expanded lungs. Left lower lobe opacity again seen, which is essentially unchanged from previous imaging. Slight improvement of atelectasis at the left base is seen. There are no pleural effusions or pneumothorax. Cardiomediastinal silhouette is unremarkable.
<unk>-year-old male with back pain and probable lung cancer, now with cough.
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The endotracheal tube is seen to course into the right main bronchus, and there is a moderate-to-large right pneumothorax causing a partial collapse of right lung and some element of tension in the form of mild mediastinal shift to the left side. Increased opacity in the left lung is due to the poor aeration from selec...
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The lungs are clear. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Cardiac silhouette is normal in size. Right-sided picc line again seen terminating in the low svc.
history: <unk>m with indwelling picc // confirm picc placement
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A central venous catheter has been removed. The patient is status post mitral valve replacement. The heart is again moderately enlarged. The mediastinal and hilar contours appear unchanged. There is a new moderate interstitial abnormality most consistent with moderate interstitial pulmonary edema. There is no definite ...
status post mitral valve repair with fever.
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Pa and lateral views of the chest provided. Lung volumes are low. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with bradycardia. r/o infection // ?pneumonia
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Frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. The cardiomediastinal and hilar contours are unremarkable. There is no pneumothorax, pleural effusion, or consolidation.
history: <unk>f with confusion, fatigue, recent hospitalization // eval for pna
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The lung volumes are somewhat low, with atelectasis in the bilateral lung bases. The heart is mildly enlarged, unchanged compared to prior studies. There is no pneumothorax, over pulmonary edema, or focal consolidation concerning for pneumonia.
history: <unk>f with fever // eval for pneumonia
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There has been interval removal of a left chest tube. The right internal jugular catheter remains in good position. No pneumothorax or pulmonary congestion. There is a small area of basilar atelectasis at the left base; otherwise, the lungs remain clear. The cardiomediastinal and hilar contours are stable.
<unk>-year-old status post cabg post chest tube removal.
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Frontal and lateral views of the chest were obtained. Mild cardiomegaly and severe mitral annular calcification are unchanged. Mediastinal contours are stable. Lung volumes are low and there is increased pulmonary vascular markings consistent with mild congestion. No focal consolidation, pleural effusion, or pneumothor...
<unk>-year-old female with cough.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact.
<unk>f with intermittent shortness of breath // eval for chf/pneumonia
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The lungs are clear. Cardiac silhouette is unremarkable. No pleural effusion or pneumothorax. Hilar contours are unremarkable.
<unk>-year-old man with chest pain.
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The heart is moderate to severely enlarged with a globular configuration. The right costophrenic sulcus is not entirely imaged posteriorly, but there is no evidence for pleural effusion. There is no pneumothorax. The lungs appear clear. Mild degenerative changes are noted along the thoracic spine.
high fever.
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Support and monitoring devices are in standard position except for a left-sided chest tube with side port lateral to the left lateral rib margins overlying the left scapula. Cardiomediastinal contours are within normal limits for technique. Diffuse bilateral airspace opacities with relative sparing of the periphery of ...
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Pa and lateral views of the chest. The lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified.
<unk>-year-old female with cough, fevers and chills.
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Pa and lateral views of the chest provided. Emphysema is again noted. There is subtle reticulonodular opacity in the left lower lung which could represent an early pneumonia. No large effusion or pneumothorax. Cardiomediastinal silhouette is stable. Chronic left rib deformities are again noted. No free air below the ri...
<unk>m with dyspnea on exertion // pna? pleural effusion
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The lungs are moderately well inflated. Density seen in the right base which is not changed from the previous examination likely represents scarring. No definite pneumonia is identified. The heart is borderline. Electronic device overlies the left chest as before the osseous structures are normal for age.
<unk> year old man with epilepsy // eval for underlying infection
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Pa and lateral chest radiograph low lung volumes. Cardiomediastinal and hilar contours are stable relative to prior examination. Heart is upper limits of normal in size, exaggerated by low lung volumes. Lungs are clear without a focal consolidation. There is no pleural effusion, pneumothorax, or evidence of pulmonary e...
history: <unk>m with cough // infiltrate
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There has been interval placement of a right ij line with tip in the mid svc. There is no pneumothorax. Appearance of the lungs is unchanged noting bibasilar opacities previously characterized as microcalcifications.
<unk>m with s/p ij line placement // placement of ij line
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Pa and lateral views of the chest were compared to previous exam from <unk>. Linear opacity at the lung bases is most suggestive of atelectasis. There is, however, somewhat patchy but still linear opacity in the right upper lung on the frontal exam, not clearly located on the lateral. The lungs are otherwise clear. The...
<unk>-year-old female with productive cough and shortness of breath.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion pneumothorax.
<unk> year old man with cough, sputum production, and sob // r/o infiltrate
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The cardiomediastinal silhouette is stable and within normal limits. The hila are unremarkable. The lungs are hyperinflated, as on prior exams. There is no focal lung consolidation. There is no pulmonary vascular congestion. There is no pneumothorax or pleural effusion. A tips stent projects over the liver on lateral v...
<unk>-year-old woman with cough, evaluate for evidence of pneumonia.
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As compared to the previous radiograph, the swan-ganz catheter has not substantially changed in position. The tip is still located in the right pulmonary artery but has been minimally pulled back. Substantial cardiomegaly, clips after cabg, sternal wires are in unchanged alignment. Minimal right pleural effusion and ar...
swan-ganz catheter placement.
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A portable frontal chest radiograph demonstrates a right chest port with the tip in right atrium. Lung volumes are persistently low, and there is redemonstration of diffuse bilateral opacities, which are increased in the right upper lobe. The remainder of the exam is unchanged, including at least <num> wedge compressio...
metastatic breast cancer. evaluate for worsening opacities or new infiltrate.
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As compared to the previous radiograph, the patient has received a right-sided picc line. The course of the line is unremarkable, the tip of the line projects over the mid svc. There is no evidence of complications, notably no pneumothorax. Compared to the previous image, the right pleural effusion and subsequent atele...
picc line placement.
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In comparison with study of <unk>, there is no change or evidence of acute cardiopulmonary disease. Specifically, no pneumonia.
lymphoma and fever, to assess for pneumonia.
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No acute focal consolidation. Slight elevation of the right hemidiaphragm is chronic. The lungs are clear. No pleural effusions or interstitial edema. The cardiomediastinal contours are unremarkable.
<unk> year old man with cirrhosis and asthma with respiratory distress. // evaluate for pneumonia/pulmonary edema
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The heart is normal in size. The mediastinal and hilar contours appear within normal limits. The lungs appear clear. There are no pleural effusions or pneumothorax. Small osteophytes are noted along the lower thoracic spine.
status post fall.
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Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. Lungs are clear without focal or diffuse abnormality. No pleural effusion or pneumothorax. The pulmonary vasculature is unremarkable. Cervical spine posterior fusion construct is incompletely evalua...
<unk>-year-old female with shortness breath for three days and productive cough. evaluate for cardiopulmonary disease.
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Interval increase in size of right pleural effusion, now moderate-to-large, with associated worsening atelectasis in the right lung. The effusion remains loculated, and note is made of marked pleural thickening along the mediastinal pleural surface, more fully evaluated on ct of <unk>, along with adjacent mediastinal l...
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The heart is borderline in size. The aorta is mildly tortuous with calcification along the arch. There is no pleural effusion or pneumothorax. In addition to a very mild diffuse interstitial process, probably vascular congestion, there is a focal opacity that includes some tethering to the right apical pleural surface ...
fever. question pneumonia.
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Elevation of the left hemidiaphragm is increased compared to <unk>. There is associated rightward shift of the heart which remains moderately enlarged. The lungs are clear. There are no pleural effusions. No pneumothorax is seen. The mediastinal contours are normal. The patient is status post midline sternotomy.
shaking chills, fevers, no cough. evaluate for acute process.
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Streaky, relatively linear left lower lung opacity likely represents atelectasis or scarring. No definite focal consolidation is seen. Minimal blunting of the left costophrenic angle most likely represents atelectasis, less likely trace pleural effusion. No pneumothorax is seen. No evidence of free air is seen beneath ...
history: <unk>f with s/p endoscopy w/ n/v // upright, free air chest or abd
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No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable. No evidence of pneumomediastinum is seen.
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Bibasilar atelectasis is noted. There is no lobar consolidation, pleural effusion, pneumothorax, or overt pulmonary edema. The cardiomediastinal silhouette is unchanged. A large hiatal hernia is again noted.
<unk>f with shortness of breath // eval for pneumonia, chf
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Since the prior exam obtained approximately <num> hours earlier, there is no significant change. Again noted is an elevated right hemidiaphragm with a small right pleural effusion and right basilar atelectasis. There is no new consolidation, pulmonary edema, or pneumothorax. Mild vascular congestion is stable. The card...
acute shortness of breath and wheezing.
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Pa and lateral views of the chest provided. The lungs are clear bilaterally. There is no focal consolidation, effusion, or pneumothorax. The heart and mediastinal contours are normal. Bony structures are intact. No free air below the right hemidiaphragm.
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The cardiac, mediastinal and hilar contours appear unchanged. Lung volumes are low. There is vague opacity in the left lower lung but improved since very recent prior radiographs. There is no pleural effusion or pneumothorax.
altered mental status.
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Portable ap upright chest radiograph obtained. Midline sternotomy wires and abandoned epicardial pacing leads are seen. Deep brain stimulator devices project over the lateral upper chest. There are diffuse bilateral ground-glass opacities which are concerning for pulmonary edema. An atypical pneumonia is also a possibi...
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The right picc line a has pulled back a little bit with is still in adequate position in the mid svc. The ng tube has been removed. The heart is normal in size. There is a tortuous aorta. The pulmonary vasculature is normal. Is small right pleural effusion is noted.
<unk> year old man with picc line which has migrated on exam // evaluate right picc placement
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Side port of the ng tube is below the ge junction. There is mild pulmonary vascular congestion. Hazy right basilar opacity appears more dense compared to prior, probably a combination of fluid as well as atelectasis. There is no pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are int...
<unk> year old woman with ngt // position
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A single portable frontal upright view of the chest is provided. Left-sided aicd is stable in position. The cardiac silhouette is moderately to markedly enlarged, appears increased in size as compared to the prior study given differences in technique. He mediastinal contours are relatively stable. In comparison to the ...
<unk>-year-old male with ventricular tachycardia, chest pain, evaluate for pulmonary edema.
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In comparison with the study of <unk>, there is some relatively ill-defined opacification at the left base. In view of the clinical history, this could well represent a developing region of consolidation. Tracheostomy tube remains in place.
fever with increased secretions.
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The cardiac, mediastinal and hilar contours are normal. The pulmonary vascularity is normal. The lungs are clear. No pleural effusion or pneumothorax is present. There are old left-sided rib fractures noted. No acute osseous abnormality is seen.
right basilar crepitation.
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Pa and lateral views of the chest provided. Left chest wall port-a-cath is noted with catheter tip extending into the region of the cavoatrial junction. Lung volumes are low though lungs are clear. No focal consolidation, large effusion or pneumothorax is seen. Cardiomediastinal silhouette appears normal. Imaged bony s...
<unk>m with dyspnea, mild hypoxia // eval for acute process
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The ett is approximately <num> cm above the carina. Left ij central venous catheter terminates in cavoatrial junction. The enteric tube terminates in the stomach. The lung volume is small, exaggerating pulmonary vascular markings and the cardiomediastinal silhouette. Right lower lobe opacity is grossly unchanged. Left ...
<unk> year old woman intubated // eval int change
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Subtle left lower lobe opacity raises concern for pneumonia. No prior lateral view of the chest is available for comparison. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with increasing hypoxia on home o<num> // eval for acute process, attn. to effusion, pna
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Patient is rotated somewhat to the right. The patient is status post median sternotomy. There is moderate pulmonary vascular congestion and possible mild interstitial edema. There is a small right pleural effusion. Trace left pleural effusion is difficult to exclude. No pneumothorax is seen. The cardiac silhouette is m...
history: <unk>m with confusion // infiltrate?
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Frontal and lateral chest radiographs demonstrate mild interval enlargement of cardiac silhouette. Prominence of the vasculature in the lung bases possibly due to crowding or mild engorgement. Normal mediastinal and hilar contours. No opacification concerning for pneumonia identified. No pleural effusion or pneumothora...
transient garbled speech, confusion, evaluate for acute process.
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The following support devices are identified: -an endotracheal tube terminating <num> cm from the carina, previously <num> cm -a left picc terminating in the mid svc -right ij central venous catheter terminating in the mid svc -an enteric tube coursing below the diaphragm and outside of the field of view -multiple medi...
<unk>m s/p lap convert to open ccy c/b retained stone s/p ercp c/b post-ercp pancreatitis, wopn with spontaneous perforation s/p ex-lap/pancreatic debridement,washout <unk> // check for lines and tubes after transfer
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A right ij central line terminates in the right atrium. This could be pulled back <num>-<num> cm to be at the superior cavoatrial junction. The lungs are hyperinflated and demonstrate emphysematous changes. A new opacity in the right lung base likely reflects atelectasis, but cannot exclude pneumonia or aspiration in t...
history: <unk>f with hypotension now sp rij placement // adequate rij cvl placement
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Following placement of a pigtail pleural catheter in the lower right hemithorax, a large right pleural effusion has substantially decreased in size with residual moderate amount of pleural fluid remaining. A moderate-sized right pneumothorax has developed, with a very small apical component but more substantial lateral...
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Two ap projections through the chest were obtained. A large left pleural effusion has substantially increased in size since <unk>. There is minimal vascular redistribution and mild cardiomegally. The right lung is clear without effusion, consolidation or pneumothorax. An oval opacity projects over the <unk> left anteri...
<unk>-year-old man with fever status post chemotherapy, question pneumonia.
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As compared to the previous radiograph, the left picc line with its tip now at the level of the superior vena cava. There is no evidence of complications. The right port-a-cath is in unchanged position. Unchanged pleural effusions. Unchanged appearance of the cardiac silhouette.
picc line is too deep, was pulled back by <num> cm. confirmation of line position.
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As compared to the previous radiograph, there is moderately increasing evidence of pulmonary edema and bilateral pleural effusions. Subsequent bilateral areas of atelectasis. Unchanged low lung volumes with moderate cardiomegaly.
history of afib, assessment for pulmonary edema or pleural effusion.
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The cardiac, mediastinal and hilar contours appear stable. Lung volumes remain low. Minimal opacification at each lung base suggests minor atelectasis. Otherwise, the lungs appear clear. There are no pleural effusions or pneumothorax.
altered mental status.
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Cardiomediastinal silhouette is stable. Lungs are clear. There is pulmonary vascular engorgement without evidence of pulmonary edema. There is no pleural effusion or pneumothorax.
history: <unk>m with cp/sob/diaphoresis. // cause for cp
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The lowest part of the right costophrenic angle has not been included in this image. Accounting for this, there is no evidence of a substantial hydrothorax on the right. A small right apical pneumothorax is again demonstrated, measuring <num> mm. A basal opacity is noted on the left lung which is concerning for pneumon...
<unk>-year-old male patient with alcoholic cirrhosis, chronic right hydrothorax with discontinuation of chest tube.
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The lungs are well inflated bilaterally. There are no areas of focal consolidation, masses, lesions, pleural effusion or pneumothorax. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old male with cll and hepatitis b now presents with cough x nine days.
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There is a small pneumothorax on the left. A left-sided pleural effusion is moderate in size with probable associated atelectasis at the left lung base. The pleural effusion is somewhat decreased in size, however. The pulmonary vasculature is indistinct and the interstitium mildly prominent suggesting mild pulmonary ed...
pleurx placement.
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One portable ap upright view of the chest. Previously seen left lower collapse has resolved. There is some residual left lower lobe atelectasis. Right lung is clear. No pleural effusion or pneumothorax. The cardiac, mediastinal and hilar contours are normal. No evidence of pneumonia.
hypoxemia and left lower lobe collapse on prior chest radiograph. evaluate for interval change.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The aorta is calcified and tortuous. The cardiac silhouette is top-normal. Mild biapical pleural thickening is seen.
history: <unk>m with syncope // infiltrate?
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A comparison is made to prior study from <unk>. The tip of the endotracheal tube is <num> cm above the carina. There is cardiomegaly with a left retrocardiac opacity. There is a left-sided pleural effusion. The right cp angle is not well visualized. There is a persistent pulmonary edema.
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In comparison with the study of <unk>, the patient has taken a much better inspiration. The areas of patchy opacification in the right mid and lower lung have effectively cleared. The costophrenic angle is now quite sharply seen posteriorly. Streaks of atelectasis are seen at the right base.
decortication with right effusion, to assess for change.
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The patient is status post sternotomy. Suture material projects over the left suprahilar region and clips suggest prior coronary bypass surgery. The heart appears mild to moderately enlarged. There is no pleural effusion or pneumothorax. The lungs appear clear.
chest pain.
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When compared to prior, there has been no significant interval change. Linear left midlung opacity laterally is compatible with scarring. Small bilateral pleural effusions are similar when compared to prior. Elsewhere, the lungs are clear. Degree of cardiomegaly is similar. No acute osseous abnormalities.
<unk>m with cough fever s/p liver transplant // r/o pna
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The left-sided port-a-cath terminates in the cavoatrial junction. The cardiomediastinal silhouette is unremarkable. The previously seen retrocardiac opacity has nearly resolved. There are no new focal consolidations. There is no pulmonary edema, pneumothorax, or pleural effusions.
<unk> year old man with recent admission for febrile neutropenia and presumed taxol reaction/hypersensitivity pneumonitis. bal + for afb // eval progression of pneumonitis. eval evidence of mycobacterial disease